facebook tracking Major hip and knee joint replacement or reattachment of lower extremity without major complications cost in Georgia: 27 hospitals compared (DRG 470)

Major hip and knee joint replacement or reattachment of lower extremity without major complications in Georgia

What 27 hospitals in Georgia charged and were paid for a Medicare hospital stay for major hip and knee joint replacement or reattachment of lower extremity without major complications (DRG 470), from 2024 Medicare claims.

DRG 470 Inpatient 2024 Medicare data
Average charge $96,366 Hospital list price billed
Average payment $16,511 Medicare + patient + other payers
Medicare paid $13,664 Average per stay
State rank #32 of 48 1 = lowest average payment

Hospitals in Georgia billed an average of $96,366 for major hip and knee joint replacement or reattachment of lower extremity without major complications, about 5.8 times the average total payment of $16,511. That payment is 5% below the U.S. average of $17,318.

These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.

Paid $16,511Billed $96,366

About 17¢ was paid for every $1 hospitals in Georgia billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Georgia:

Georgia hospitals: major hip and knee joint replacement or reattachment of lower extremity without major complications

Every Georgia hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
Northside HospitalAtlanta 55 $122,056 $18,429 $16,797
Houston Medical CenterWarner Robins 49 $49,894 $13,960 $12,155
St Mary's HospitalAthens 42 $69,798 $16,083 $13,797
Northside Hospital CherokeeCanton 36 $114,460 $14,958 $13,552
Northside Hospital ForsythCumming 35 $139,977 $17,779 $11,622
Southeast Georgia Reg Med CtrBrunswick 34 $52,560 $17,252 $15,716
Atrium Health Navicent the Medical CenterMacon 31 $86,280 $17,335 $14,072
St Joseph's Hospital - SavannahSavannah 30 $69,080 $12,626 $10,104
Emory University HospitalAtlanta 25 $70,957 $25,338 $19,574
Union General HospitalBlairsville 21 $44,410 $13,488 $11,856
Piedmont Fayette HospitalFayetteville 21 $122,606 $14,477 $12,845
Piedmont HospitalAtlanta 19 $110,530 $17,811 $10,716
Redmond Regional Medical CenterRome 19 $155,003 $14,727 $12,840
Piedmont Newnan Hospital, INCNewnan 17 $123,139 $16,471 $12,208
Floyd Medical CenterRome 15 $155,923 $16,951 $15,108
Phoebe Putney Memorial HospitalAlbany 14 $89,978 $18,146 $16,302
Wellstar Kennestone HospitalMarietta 14 $105,693 $22,821 $15,093
Tift Regional Medical CenterTifton 14 $75,664 $14,891 $13,376
East Georgia Regional Medical CenterStatesboro 13 $134,853 $13,213 $11,581
Emory University Hospital MidtownAtlanta 13 $66,520 $20,307 $12,726
Newton Medical CenterCovington 12 $135,915 $15,001 $13,505
Northside Hospital DuluthDuluth 12 $124,703 $14,878 $13,521
Northeast Georgia Medical Center, INCGainesville 11 $152,086 $17,015 $14,889
Memorial Health Univ Med Cen, INCSavannah 11 $123,585 $15,294 $13,077
Colquitt Reg Medical CenterMoultrie 11 $57,436 $14,998 $13,156
Henry Medical Center, INCStockbridge 11 $108,139 $14,965 $13,926
Emory Johns Creek HospitalJohns Creek 11 $57,687 $15,382 $10,369
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Lowest and highest payments in Georgia

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

St Joseph's Hospital - SavannahSavannah, GA$12,626
East Georgia Regional Medical CenterStatesboro, GA$13,213
Union General HospitalBlairsville, GA$13,488
Houston Medical CenterWarner Robins, GA$13,960
Piedmont Fayette HospitalFayetteville, GA$14,477

Highest

Emory University HospitalAtlanta, GA$25,338
Wellstar Kennestone HospitalMarietta, GA$22,821
Emory University Hospital MidtownAtlanta, GA$20,307
Northside HospitalAtlanta, GA$18,429
Phoebe Putney Memorial HospitalAlbany, GA$18,146

Major hip and knee joint replacement or reattachment of lower extremity without major complications in other states

Questions

How much does major hip and knee joint replacement or reattachment of lower extremity without major complications cost in Georgia?

In 2024 Medicare data, a hospital stay for major hip and knee joint replacement or reattachment of lower extremity without major complications (DRG 470) at 27 hospitals in Georgia was billed at $96,366 on average, while the average total payment was $16,511, of which Medicare paid $13,664. Your own cost depends on your insurance, deductible and the hospital.

Why are hospital charges so much higher than payments?

Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Georgia, average charges were 5.8 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.